Individual
DR. JANET WILLOUGHBY MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
122414
NC
207R00000X
Internal Medicine Physician
Primary
D71282
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036817200
—
MD
05
—
3400030
—
NC
Enumeration date
05/14/2007
Last updated
06/10/2011
Update your record
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